Akute Pankreatitis Seltene Komplikation bei primärem Hyperparathyroidismus (pHPT)

Background. Primary hyperparathyroidism (pHPT) in childhood and adolescence is a rare disease.Therefore diagnosis often is delayed. Methods. We report on a 13 year old boy, who sufferd from nausea, abdominal pain and weight loss for 9 months.We diagnosed an adenoma of the parathyroid gland and an acute pancreatitis in the course of a hyper-calcemic crisis. Results. After stabilizing the patient, the adenoma was removed surgically. No problems occured after the surgical treatment.Within 3 months the boy regained his original weight. Conclusion. Symptoms like nausea, abdominal pain, cephalea, hypertonia, anorexia and renal stones could be a hint for pHPT.The coincidence of pHPT and pancreatitis is extremely rare. According to references in the literatur this association is most likely related to elevated calcium levels due to advanced pHPT.